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New York rates for HCPCS 43775

Laparoscopy, surgical, gastric restrictive procedure; longitudinal gastrectomy (ie, sleeve gastrectomy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $6,025.60 / $25,118.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,248.07 / $11,481.54 / $52,480.75
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $6,606.93 / $28,183.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $25,118.86 / $38,904.51
Cigna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$2,290.87 / $2,290.87 / $2,290.87
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$190.55 / $190.55 / $190.55
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $1,778.28 / $17,782.79
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,023.29 / $1,023.29
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $6,760.83 / $15,488.17
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $10,715.19 / $38,904.51
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $1,288.25 / $3,090.30